Individual provider Active NPI

Gloria M. Suau - Sanchidrian, M.D.

  • Psychiatry Physician
  • Rio Piedras, PR
National Provider Identifier
1679658561
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
13436 Issued in PR
Practice address
Clinica Para Tu Salud Emocional Cem
Reparto Metropolitano Shopping, Ave.Americo Miranda
Rio Piedras, PR 00921
Phone
(787) 522-8280
Fax
(787) 522-8274
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 13436 PR
Psychiatry Physician 2084P0800X 13436 PR Primary

Addresses

Primary practice location

Clinica Para Tu Salud Emocional Cem
Reparto Metropolitano Shopping, Ave.Americo Miranda
Rio Piedras, PR 00921

Mailing address

Psiquiatria RCM
PO Box 29134
San Juan, PR 00929-0134
Phone (787) 522-8280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250218003805 PR Practitioner - Psychiatry 5799205910 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Dec 6, 2024 Accepting new patients
Recinto de Ciencias Medicas Psychiatry CurrentSince Dec 6, 2024 Accepting new patients

Locations

Centro Medico De Puerto Rico Bo Monacillos
San Juan, PR 00935

Paseo Jose Celso Barbosa
San Juan, PR 00935

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1679658561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PSIQUIATRIA RCM",
            "address_2": "PO BOX 29134",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290134",
            "telephone_number": "787-522-8280",
            "fax_number": "787-522-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINICA PARA TU SALUD EMOCIONAL CEM",
            "address_2": "REPARTO METROPOLITANO SHOPPING, AVE.AMERICO MIRANDA",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-522-8280",
            "fax_number": "787-522-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAU - SANCHIDRIAN",
        "first_name": "GLORIA",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "13436",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "13436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.